BAMS4TH PROFESSIONAL syllabus

CENTRAL COUNCIL OF INDIAN MEDICINE NEW DELHI

SYLLABUS OF AYURVEDACHARYA (BAMS) COURSE

4TH PROFESSIONAL

INDEX

4.1 KAYACHIKITSA

02-04

4.2 PANCHKARMA

05-10

4.3 SHALYA TANTRA

11-20

4.4 SHALAKYA TANTRA

21-26

4.5 RESEARCH METHODOLOGY AND MEDICAL STATISTICS

27-28

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4.1 KAYACHIKITSA

Theory Two Papers – 100 Marks Each Practical/Viva voce – 100 Marks

Paper I 100 Marks Part – A 50 Marks

. 1 Derivation of the terms ‘Kaya’, ‘Chikitsa’ and their definitions and synonyms. Definition of ‘Kayachikitsa, Definition of ‘Bheshaja’. Types and detailed description of Bheshaja and Chikitsa, Knowledge about Chikitsa Chatushpada, Rogi Roga Pariksha Siddhantha, Astasthana Pariksha.

. 2 Importance of Kriya Kaala according to stages of Dosha and their management.

. 3 Chikitsa sutra and Management of vriddhi (increased) and kshaya (decreased) of Dosha, Dhatu and Mala, Ojo Vyapat (Kshaya, Visramsa and Vyapat) and its management. Chikitsasutra and Management of Sama-Nirama states, Roga-Anutpattikara Chikitsa, Roga Prashamana Chikitsa (Doshapratyanika, Vyadhipratyanika, Ubhayapratynika), Doshopakrama, Chikitsa sutra and Management of Sthanantara Dosha (Ashayapakarsha, Anuloma/Pratiloma gati of Dosha, Vimarga gamana of Dosha), Knowledge of Lina Dosha & its management, Diagnosis, Chikitsa Sutra and Management of Avarana and of Dhatu Pradoshaja diseases, Importance of Dosha, Dushya , Bala, Kaala, Agni, Prakriti, Vaya, Sattva Satmya, Desha, Ahara and stage of diseases in treating them. Chikitsa Sutra and Management of ‘Samanyaja and
Nanatmaja’ diseases.

. 4 Detailed description of Dvividhopakrama (Santarpana and Apatarpana) and Shadavidhopakrama (Rookshana, Snehana, Swedana, Sthambhana, Langhana and Brimhana). Detailed description of Shodhana, Shamana and Nidana Parivarjana. Knowledge of Aushadha matra, Sevan kaala and Anupana, Definition and Knowledge of Pathya-Apathya with examples of diseases of various systems.

. 5 Derivation of the term ‘Manas’, its sthana (place), Guna (qualities) and Karma (functions). Samanya Chikitsa Siddhanta of Manasa Roga.

. 6 Principles & Management of Nutritional deficiency disorders.

. 7 Management of Vardhakyajanita vikara, Indriyapradoshoja vikara, Alzhiemer’s Disease,
Sleep disorders, General debility.

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8 General introduction and principles of Management of diseases produced by Genetic, Environmental and Iatrogenic factors. Disorders due to drug and Food allergy and their management and other allergic conditions.

Part B 50 Marks

1. Detailed description of Chikitsa Sutra and Management of Jwara and its types.

Etiopathogenesis & relevant Ayurvedic and Modern management of following types of Fevers-Typhoid, Pneumonia, Pleurisy, Influenza, Mumps, Meningitis, Encephalitis, Tetanus, Yellow fever, Plague, Dengue Fever, Chikun Guniya, Leptospirosis,Viral Fever, Anthrax, Masurika (Small pox), Laghu Masurika (Chicken pox), Romantika (Measles).

1. Chikitsa sutra and Management of the diseases of Rasavaha Srotas such as – Pandu, Amavata, Madatyaya, Hridroga, Hridshoola, Hypotension, Hypertension, Anaemia, Rheumatoid arthritis.

2. Chikitsa sutra and Management of the diseases of Raktavaha Srotas such as – Raktapitta, Kamala, Kumbhakamala, Halimaka, Daha, Mada, Murcha, Sanyasa,

Vatarakta, Plihadosha, Yakrut dosha, Haemolytic disorders, Hepatitis, Cirrhosis of Liver,

Leukaemia, Kushta, Shvitra, Visarpa, Sheetapitta, Udarda, Kotha and Kshudra Roga.

3. Knowledge of National Health Programmes and the relevant Ayurvedic Management of the following diseases enlisted by World Health Organisation- Malaria, Filaria, Kala
Azar, Leprosy, Tuberculosis, AIDS.

4. Introduction of general principles of maintenance of health and management of
diseases of following systems of Medicine- Yoga, Naturopathy, Unani, Siddha,
Physiotherapy and Rehabilitation.

5. Diseases of different Endocrine Glands- such as Thyroid, Parathyroid, Pituitary, Pancreas
and Adrenal glands and their management.

6. General introduction, types and Management of diseases caused by Vyadhi Kshamatwa
Hinata (Immuno deficiency disorders), Auto Immune Disorders.

7. Description and Management of following Emergency Conditions- Acute Haemorrhage,
Hypertensive Emergencies, Acute abdominal pain (Renal colic, Biliary colic, Gastritis, Pancreatitis, Peritonitis and Appendicitis), Acute Abdomen, Anuria/ Oliguria, Congestive Heart Failure, Myocardial Infarction/Angina, Shock, Syncope, Convulsions, Hyperpyrexia, Hyperglycaemia, Hypoglycaemia, Status Asthmaticus, Acute Respiratory distress Syndrome, Drowning and Electric shock.

PAPER II 100 Marks Part A 50 Marks

1. Chikitsa sutra and Management of the diseases of Pranavaha Srotas such as – Kasa, Shwasa, Hikka, Rajayakshma, Urakshata, Parshwashoola, Bronchitis, Bronchiectasis, Emphysema and COPDs.

2. Chikitsa sutra and Management of the diseases of Udakavaha Srotas such

as- Shotha, Jalodara, Trishna, Water & Electrolyte Imbalance.

3. Chikitsa sutra and Management of the diseases of Annavaha Srotas such as –
Agnimandya, Aruchi, Ajirna, Anaha, Atopa, Adhmana, Alasaka, Vilambika, Visuchika,
Chardi, Grahani, Amlapitta, Gulma, Shoola, Bhasmaka, Acid peptic disorders.

4. Principles of treatment and management of Vata Vyadhi such as – Pakshavadha, Ekangavata, Sarvangavata, Ardita, Avbahuka, Kati Graha, Manyastambha, Gridhrasi, Vishwachi, Khalli, Khanja, Pangu, Padaharsha, Padadaha, Vatakantaka, Kroshtukashirsha, Udavarta, Kampavata, Dhatugata and Ashayagata Avarana Vata,
other Vata Rogas, Parkinsonism.

5. Nidana and Chikitsa of Urusthambha, Gullian Barrie syndrome, Muscular Dystrophy,
Myasthenia Gravis, Motor Neuron Diseases and Neuralgia.

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Part B 50 Marks

1. Chikitsa Sutra and Management of Mamsavaha Srotas and Medovaha Srotas such as- Gandamala, Galaganda, Mamsashosha, Arbuda, Apachi, Prameha, Sthaulya, Karshya, Diabetes Mellitus, Dyslipidaemia.

2. Chikitsa Sutra and Management of ‘Asthi and Majjavaha Srotas such as Asthimajja Vidradhi, Asthisoushirya, Asthi kshaya, Sandhigata Vata, Osteo Arthritis, Osteomyelitis, Osteoporosis, Osteopenia.

3. Chikitsa sutra and management of Shukravaha srotas such as Klaibya, shukralpata, shukradosha, kshina shukra, dhwajabhanga.

4. Chikitsa Sutra and Management of diseases of Mutravaha Srotas such as -Mutrakricha, Mutraghata, Ashmari, Cystitis, Nephritis, Nephrotic Syndrome, BPH, Renal Failure.

5. Chikitsa Sutra and Management of diseases of Purishavaha Srotas such as – Atisara, Pravahika, Arsha, Purishaj Krimi, IBS and Ulcerative Colitis.

6. Chikitsa Sutra and Management of Sexually Transmited Diseases such as – Phiranga,

Puyameha, Upadamsha, lymphogranuloma inguinale, Syphilis, Gonorrhoea.

7. Introduction, Definition and Management of Kama, Krodha, Lobha, Moha, Mada,
Matsarya, Shoka, Bhaya, Vishada, Dainya, Harsha and Pragyaparadha.

8. Manas and Manovahasrotas, Nidana and Chikitsa of the following disorders – Unmada- Apasmara-Atattvabhinivesha, Chittodvega, Vishada, Anxiety disorders, Depression, Somatoform and Mood disorders, Stress induced disorders, Psychosexual Disorders. Importance of Daivavyapashraya, Sattwavajaya, Adravyabhuta Chikitsa. Medhya Rasayana in the management of Manasa Roga. Bhuta Vidya diagnosis and management
of graha disorders.

9. Derivation, definition and synonyms of Rasayana, importance of Rasayana
and its benefits. Indications of Rasayana therapy. Classification of Rasayana. Kutipraveshika and Vatatapika Rasayana. Indications of Vatatapika Rasayana. Knowledge of Kayakalpa, Achara Rasayana. Procedures of Kutipraveshika, Poorvakarma and specific schedules to be followed after Kutipravesha, benefits of Kutipraveshika Rasayana, duration of process, Rasayana yoga and directions for their use. Determination of dose of Rasayana according to age. Rules and regulation after Rasayana therapy, Importance of Immunomodulators and antioxidants in Rasayana therapy.

10.Vajikarana- Derivation, definition, synonyms, necessity, benefits, importance of fertility, Symptoms of Shûkra (Semen), Vajikaran Dravya and Aushadhi. Properties, doses, methods of administration, ingredients and methods of formation of Rasayana & Vajikarana formulation. Classification and importance of Vajikarana Dravya

Distribution of practical Marks 100

Reference books:

1. Charak Samhita, Sushrut Samhita, Ashtanga Samgraha and Ashtanga Hridaya with their commentries. Madhav Nidana with Madhukosha Commentary.

2. Ayurvediya Vyadhi Vigyana – Yadavji Trikamji

3. Roga Pariksha Vidhi – Priyavrat Sharma

1) Daily case record/ 20 cases – 20 marks 2) Patient examination

a) 1Long case b) 1 short case 3) Viva –voice a) Paper I

b) Paper II

– 20 marks – 10 marks

– 25 marks – 25 marks

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4. Panchakarma Vigyan

5. Cikitsadarsha

6. Kayachikitsa I-IV

7. Ayurved Nidan Chikitsa Siddhanta

8. Kayachikitsa Vol. I-IV.

9. Davidson’sPrinciplesandPracticeofMedicine.

10. API Text Book of Medicine.

11. Harrison’s Text Bok of Medicine.

12. Cecil Text Book of Medicine.

13. Panchkarma Illustrated by Dr. G.Srinivasacharya.

14. Other relevant publications on subjects concerned

-Haridasa Sridhar Kasture -Pandit Rajesvardutta Shastri -Ramaraksha Pathaka
-Prof. R.H.Singh.

-Prof. Ajay Kumar

5|UG Syllabus 4th year

I. Introduction

4.2. PANCHAKARMA

1. Introduction to Panchakarma, Panchakarma and Shodhana, its importance for promotion of health, prevention and treatment of diseases.

2. Trividha Karma- Purva, Pradhana and Pashchat Karma in relation to Shodhana and their importance.

3. Indications of Shodhana, Shodhana according to Ritu

4. General Principles of doshagati from Koshta to Shaka and vice versa

5. General precautions (Pariharya Vishaya) for Panchakarma

6. SpecificationsofPanchakarmatheatreandnecessaryequipments

7. Importance of Koshta and Agni Parikshan

II. Snehana

1. Etymology and Definition of Sneha and Snehana

2. Snehayoni- Sthavara and Jangama: Properties of Sneha dravyas, Snehopag Dravyas

3. General knowledge of Ghrita, Taila, Vasa and Majja with their specific utility and
actions ,Yamaka, Trivrit and Maha Sneha

4. Metabolism of fat

5. Achcha and Pravicharana of Sneha

6. Snehapaka and its importance in Panchakarma

7. Types of Snehana: i) Bahya and ii) Abhyantara Snehana

i) Bāhya Snehana :

Methods, indications and contraindications of the following types of Bahyasnehana; Mardana, Unmardana, Pādāghāta, Samvāhana, Karna Purana & Akshi Tarpan, Lepa,

Talam,
Murdhni Taila: Siro-Abhyanga, Shiro Seka/dhārā, Siro Pichu and Siro-Basti

ii) Ābhyantara Snehana

Three Types of Ābhyantara Snehana: Shodhanārtha, Shamanārtha and Brimhanārtha Snehana, Indications and contraindications for Snehana

Shodhanārtha Snehana

a. Importance and method of Deepan Pāchan and Rookshana in Shodhanārtha Snehana. Properties of Rookshana Dravya. Samyak Rookshana Lakshana

b. Consideration of Agni and Koshtha in Snehana

c. Indication of Different Matra, Various dose schedules for Shodhanārtha Snehana;
Hraseeyasi, Hrasva, Madhyama and Uttama Mātrā, Ārohana Mātrā

d. Methods of Shodhanārtha Snehana,

e. Anupāna of Sneha

Theory One Paper – 100 Marks

Practical Viva-voce – 50 Marks Hours of teaching Theory – 100 Clinical training: 3 months

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f. Jeerna and Jeeryaman Lakshana

g. Samyak Yoga, Ayoga and Atiyoga of Snehana, Sneha Vyāpat & their management
according to Ayurveda & Modern Medicine

h. Diet and regimen during Snehana

Sadyo Sneha: Method of administration, dose fixation and utility Shamanārtha Snehana, Method of administration, dose fixation and utility Bronhanarth Senhana: Method of administration, dose fixation and utility Avapeedak Sneha: Method of administration, dose fixation and utility

8. Snehana Kārmukata (mode of action)

9. Special Procedures:
Takradhara, Udvartanam, Putpāka, Aschotana, Anjana, Gandusha, Kavala, Dhoompāna, Udvartana, Utsādana, Udgharshana,Talapothichil

III. Svedana

1. Etymology and Definition of Sveda and Svedana

2. ClassificationsofSveda/Svedana

3. General Sweda dravya, Properties of Sweda dravyas, Swedaopag dravyas ,

4. IndicationsandcontraindicationsofSvedana

5. TenTypesofNiragniSvedana

6. Knowledge of 13 types of Sagni Svedana and Chaturvidh Svedan

7. Detailed Knowledge with their Utility of the following Svedana procedures:
Sankara/Pinda Sveda-Ruksha and Snigdha Sveda
Patrapinda Sveda, Jambir Pinda Sveda,Vāluka Sveda,Churna Pinda Sveda,Kukkutand Pinda Sveda, Shashtika Shalipinda Sveda, Nadi Sveda, Bashpa Sveda Ksheer dhooma ,Ksheer Seka, Kwath Seka, Avagaha Sveda,Dhanymla Dhara
Parisheka Sveda, Pizichil, Upanaha Sveda, Annalepa

8. Local Basti such as Kati Basti, Janu Basti, Greeva Basti and Urobasti

9. General precautions during Sagni Svedana and Methods to protect vital during
svedana

10. Samyak Yoga, Ayoga and Atiyoga of Svedana

11.Complications of Svedana and their Management according to Ayurveda & Modern

Medicine

12. Diet and management during and after Svedana

13. Parihār Vishaya

14. Svedana Kārmukata (Mode of action)

15. General Knowledge about current Sudation techniques like Sauna bath, Steam bath

IV. Vamana Karma

1. Etymology, definition and importance of Vamana Karma

2. Utility of Vamana Karma in health and disease

3. IndicationsandContraindicationsforVamana

4. Knowledge of Koshta and Agni

5. General knowledge of Vamana and Vamanopaga drugs; properties, actions, preparations, preservation with special reference to Madanphala, Kutaj, Nimba, Yashti, Vacha

6. Purva Karma of Vamana:Deepan-Pāchana, Abhyantara Snehana and diet

7|UG Syllabus 4th year

7. Management of one gap day-Abhyanga & Svedana, diet, special Kapha increasing diet

8. Preparation of the patient on Morning of Vamana day

9. Vamaka Yoga, Anupana, fixation of dose and method of administration

10.Administration of Vamanopaga Dravya such as milk, sugarcane juice, Yashtimadhu

decoction

11. Lakshana indicating Doshagati during the process

12. Management during Vamana Karma & observations

13. Symptoms of Samyak Yoga, Ayoga and Atiyoga of Vamana Karma

14. Post Vamana management

15. Types of Shuddhi-Hina, Madhya and Pravara

16. Peyadi Samsarjana Krama and Tarpanadi Kram with their specific indications

17. Complication of Vamana and their management with Ayurveda and modern drugs

18. Pariharya Vishaya
19. Vamana Karmukata (Mode of action).

V. Virechana Karma

1. Etymology, definition and importance of Virechana Karma

2. Utility of Virechana Karma in health and disease

3. IndicationsandContraindicationsforVirechana

4. Knowledge of Koshta and Agni

5. Classification of Virechana Drugs, General properties of Virchana dravya

6. General knowledge of single and compound Virechan drugs; properties, actions, preparations, preservation with special reference to Trivrutta, Aragvadha, Eranda,
Katuki, Jaipal

7. Purva Karma of Virechana: Deepan- Pachana, Abhyantara Snehana and diet

8. Managementof3gapdays-Abhyanga,Svedana&diet

9. Management on Morning of Virechana day

10. Preparation of Virechana Kalpa, Anupana, dose and method of its administration

11.Method of Virechana Karma and management during Virechana Karma &

observations

12. Symptoms of Samyak Yoga, Ayoga and Atiyoga of Virechana Karma

13. Post Virechana management

14. Types of Shuddhi-Hina, Madhya and Pravara and accordingly Samsarjana Krama

15. Complications of Virechana and their management with Ayurveda and modern drugs

16. Pariharya Vishaya
17. Virechana Kārmukatā (Mode of action)

VI. Basti Karma

1. Etymology,definitionandimportanceofBastiasArdha-Chikitsa

2. UtilityofBastiKarmainhealthanddisease

3. Basti Yantra- Putaka & Netra, Detailed study of traditional Basti Yantra and their
Doshas
Knowledge of alternative Basti Yantra-enema can, enema syringe, modified plastic/rubber bag for Putaka, modified plastic netra.

4. ClassificationsofBasti

8|UG Syllabus 4th year

5. Karma, Kāla and Yoga Basti schedules along with their utility.

6. Niruha Basti: Its etymology, synonyms, definition, classifications, sub-
classifications & indications and contraindications.

a. Dose fixation of Niruha Basti according to age

b. Contents and Method of preparation of Niruha Basti dravya

c. Diet

d. Administration of Niruha Basti

e. Pratyāgamana Kāla, Post Niruha Basti management

f. Samyak Yoga, Ayoga and Atiyoga of Niruha.

g. Complication of Niruha Basti and its management according to Ayurved and
Modern Medicines

h. Pariharya Vishaya and kala

7. Anuvasana Basti: Its etymology, synonyms, definition, classifications, sub- classifications & indications and contraindications.

a. DosefixationofAnuvasanBastiaccordingtoage

b. ContentsandMethodofpreparationofAnuvasanBastidravya

c. Diet

d. AdministrationofAnuvasanBasti

e. Pratyāgamana Kāla, Post Anuvasan Basti management

f. Samyak Yoga, Ayoga and Atiyoga of Anuvasana.

g. ComplicationofAnuvasananditsmanagementaccordingtoAyurvedand
Modern Medicines

h. Pariharya Vishaya and kala

8. Basti Kārmukatā (Mode of action).

9. KnowledgeoffollowingtypesofBasti:
Madhutailika Basti, Erandmuladi Basti, Yāpana Basti, Pichchha Basti, Kshira Basti, Kshara Basti, Vaitarana Basti, Panchaprasutik Basti, Lekhan Basti,Krumighna Basti,Tiktashir Basti,Ardhamātrika Basti

10.Uttara Basti,: its definition, indications and contraindications, Detailed study of traditional Basti Yantra and their Doshas Knowledge of alternative Basti Yantra

a. Preparationofpatient,

b. PreparationofTrolleyforUttarbasti,

c. drug preparation and Fixation of dose,

d. methodofadministrationinmaleandfemales,

e. observations,

f. complications and their management

VII. Nasya

1. Etymology, definition, Significance of Nasya Karma.

2. Classificationsandsub-classifications

3. Knowledge of general Dravya used for Nasya Karma, Shirovirechan Gana,
Shirovirechanopag dravyas

4. IndicationsandcontraindicationsofNasya

5. TimeofadministrationofNasya

6. DosefixationofdifferenttypesofNasya

7. Diet and regimen before and after Nasya Karma

8. Administration of Marsha, Pratimarsha, Avapeedaka, Dhoomapana and Dhuma Nasya

9. Symptoms of Samyak-yoga of Nasya,

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10.Complicationof Nasyaandtheirmanagement 11. Parihār Vishaya
12. Nasya Karmukata (mode of action)

VIII. Raktamokshana

1. Definition,importanceandTypesofRaktamokshana

2. GeneralPrinciplesandrulesofRaktamokshana

3. ClassificationofRaktamokshan

4. General Indication and Contra indication of Raktamokshan

5. Jalaukavacharana: Knowledge of different types of Jalauka (Leech) , Indications
and contraindications of Jalaukavacharana, various types of Jalauka. Method of Application, Samyak Lakshan, Complication of Jalaukavcharana and their management with Ayurveda and Modern medicines.

6. Pracchāna: Indications and contraindications of Pracchana. Method of Application, Samyak Lakshan, Complication of Pracchana and their management with Ayurveda and Modern medicines

7. Sirāvedha: Indications and contraindications of Siravedha. Method of Application, Samyak Lakshan, Complication of Siravedha and their management with Ayurveda and Modern medicines

8. Knowledge of emergency management of complications such as water & electrolyte imbalance, shock, bleeding per rectal, hemetemsis, epistaxis

IX.Physiotherapy

1. Definition,UtilityandImportanceofPhysiotherapy.

2. Basic Knowledge of Static exercise, Infrared, Short wave diathermy, Electromagnetic
therapy, Wax bath therapy, Ultrasonic therapy.

PRACTICALS / CLINICAL TRAINING –
Total Duration of 3 Months posting
OPD (for 1-Month): observation of OPD patients, selection of the patients, observation of OPD base Panchakarma procedures
IPD (Panchkarma) and Panchakarma Unit – Observation of different procedures of Panchakarma, Assistance to the procedure under guidance of Panchakarma specialist
Under clinical posting, each student has to study and write 15-long Cases and 10 short cases in prescribed format
Long case Paper- minimum 1 Vaman , 1 Virechan, 1Niruha & Anuvasan Basti, 1Nasya, 1 Raktamokshan
Short case paper –Minimum one each of Pinda sweda, Shirodhara,Abhyanga, Netra Tarpan, Bahya Basti, Nadi Sweda etc.

Distribution of Marks

1. PracticalRecordof25procedures 05Marks 2. LongProcedure 10Marks

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3. LongProcedureViva
4. ShortProcedure
5. Viva on Short Procedure 6. General Viva-voce

Total

05 Marks 08 Marks 02 Marks 20 Marks

50 Marks

Reference Books

1. Charak Samhita with Commentary of Ayurveda Dipika by Chakrapanidatta & Jalpakalpataru by Gangadhara

2. Sushrut Samhita with the Sushruta Nibhandha Samgraha Commentary of Dalhana & Nyayachandrika Panjika of Gayadasa on Nidana Sthana

3. Ashtanga Hridaya with Sarvanga Sundara & Ayurveda Rasayana Commentaries

4. Ashtanga Sangraha with Shashilekha Commentaries

5. Ayurvediya Panchakarma Chikitsa

6. Panchakarma Vigyan

7. Illustrated Panchakarma

8. Clinical Panchkarma (English)

Dr Mukundilal Dwivedi
Dr Haridas Shreedhar Kasture Dr.G Srinivasa Acharya
Dr. P.Yadaiah
Dr. P. Yadaiah
Dr. P. Yadaiah

9. Prayogika Panchkarma (Hindi)

10. Vivida Vyadhiyome Panchkarma (Hindi)

11. The Panchkarma Treatment of Ayurveda with Kerala Specialtie Dr. T.L. Devaraj

12. Panchkarma Therapy Dr. R.H. Singh

13. Ayurveda-Principles and Panchakarma Practice Dr Mandip R. G. & Prof. Gurdip Singh

14. Principles and Practice of Basti

15. Panchakarma Sangraha

16. Essential of Panchakarma Therapy

17. Principles and Practice of Panchakarma

18. Harrison’s Principle of Internal Medicine

19. Guyton’s Physiology

Dr. Vasudevan & Dr. L. Mahadevan Dr. Manoj Shamkuwar
Dr.Pulak Kanti Kaur
Vaidya Vasant Patil

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4.3 SHALYA TANTRA

Theory Two Papers – 100 Marks Each Practical – Viva voce – 100 Marks

PAPER –I 100 Marks

Part – A 50 Marks

Definition of Shalya, Shalya Tantra and its importance. Introduction to Shalya Tantra: Historical background and progress made.

 Target – Fluency in textual reading and comprehension.

 Preferable targets – Know recent developments and controversies.
Description of Yantra, Shastra, Anushastra: Definition, number, types, uses, Dosha, Guna, Karma. Relevant modern instruments.

 Target – Basic understanding of the concepts of Yantra and Shastra. Acquaintance with commonly used surgical instruments. Knowledge of textual descriptions.

 Preferable targets – Knowledge about currently used surgical instruments, their specifications, procurement sources etc.
Nirjantukarana / Sterilization: Methods, types and its role in surgical practice.

 Target – Basic surgical discipline of maintaining asepsis.

 Preferable targets- Knowledge of recently developed chemicals, instruments for
sterilization.
Sangyaharan / Anaesthesia: Definition and Types.

i. Local anaesthesia – Drugs, Techniques, Indications, Contraindications,
Complications and their Management.

ii. Regional and General anaesthesia- Drugs, Techniques, Indications,
Contraindications, Complications and their Management.

 Target-Basic knowledge of the drugs and instruments of anaesthesia. To observe the
process of induction, monitoring and recovery.

 Preferable targets- Assisting and handling anaesthesia.
Trividha Karma – Purva Karma, Pradhana Karma and Paschat Karma.

 Target- Capability to identify conditions which can affect the outcome of surgery in pre, intra and post- operative period.

 Preferable targets- Experience of handling incidents.
Ashtavidha Shastra Karma – Surgical procedures.

 Targets- Appreciation and comprehension of concepts and indications of different procedures.

 Preferable targets –Hands on experience of surgical procedures.

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Yogya – Experimental Surgery.

 Target –Appreciation and comprehension of concepts of Yogya. Idea of patient’s safety in experimental training.

 Preferable targets- Hands on training on mannequins.
Marma: Nirukti, types, description and importance.

 Target –Clinical application of concepts of marma.

 Preferable targets- Study of relevance of marma in the light of current anatomical
and surgical knowledge.
Kshara and Kshara Karma:

i. Nirukti, Pradhanyata, Guna, Dosha, Karma, Prakara, Yogya, Ayogya,
Procedure, Upadrava and Chikitsa.

ii. Kshara nirmana vidhi, knowledge of Kshara Varti, Taila and Pichu.

iii. Kshara Sutra – Preparation, Indications, Contraindications and Method of
application, Complications and their Management.

 Target – Capability to identify and practice the use of kshara, kshara sutra in common clinical conditions.

 Preferable targets – Broader knowledge of current trends and ongoing researches in kshara application.
Agnikarma: Mahatva, Upakarana, Vidhi, Akruti bheda, Yogya, Ayogya and Upadrava Chikitsa.
Contemporary techniques and tools of Agnikarma.

 Target – Capability to appreciate the clinical indications and comprehend Agnikarma procedure.

 Preferable targets – Hands on experience of use of cautery in surgical practice.
Raktamokshana: Mahatva, Prakara – Siravyadha, Pracchanna, Shringa, Alabu, Jaloukavacharana – Yogya, Ayogya, Procedure, Upadrava and Chikitsa.

 Target- Capability to appreciate and comprehend clinical indications of Jaloukavacharana and other Raktamokshana procedures.

 Preferable targets – Uses of bloodletting in current therapy.
Bandha Vidhi – Prayojana, Dravya, Indications, Contraindications, Prakara, Upadrava, Pichu, Plota, Kavalika and Vikeshika.

 Target- Hands on experience of techniques of bandaging.

 Preferable targets – New generation of bandaging and splintage tools.
Pranasta Shalya and Nirharana Upaya.

 Target – Importance of concepts of Sushruta in the management of Shalya and concerns of patient safety. Identification and management of foreign bodies.

 Preferable targets – Current concepts and diagnostic tools of dealing with foreign bodies.

13|UG Syllabus 4th year

Fluid, Electrolyte, Acid Base Balance and Nutrition:

i. ii. iii. iv.

v. vi.

 

Introduction of physiology of fluids and electrolytes.
Dehydration and over hydration.
Specific electrolyte loss, Acidosis, Alkalosis, Symptomatology and Management. Electrolyte changes in specific diseases like pyloric stenosis, intestinal obstruction and anuria.
Various replacement fluids in surgery, mode of administration and complications. Nutrition.
Target – Capability to identify and manage fluid and electrolyte imbalance. Ability to administer parenteral fluid.
Preferable targets – Advanced techniques of fluid and electrolyte assessment and management.

Rakta Mahatwa, Raktasrava / Haemorrhage: Prakara and Lakshana.

i. Raktastambhana – Haemostasis.

ii. Blood Transfusion –Blood groups, Compatibility, Indications, Contraindications and
Complications with Management.

iii. Component therapy.

 Target-Knowledge of achieving haemostasis in haemorrhage.

 Preferable targets – Detailed knowledge of blood bank techniques.
Antibiotics, analgesics, anti-inflammatory and emergency drugs in surgical practice.

 Target – Working knowledge of commonly used drugs.

 Preferable targets – Advanced pharmacological study of the above drugs.
Diagnostic techniques – X-ray, Imaging techniques, Ultrasonography, CAT Scan, MRI, Biopsy / Cytological study.

 Target- Knowledge of proper indications for optimum investigational tools and their interpretation.

 Preferable targets – Capability to work independently in the field of diagnostic techniques.

Part – B

Shat Kriyakala in surgical practice.

50 Marks

 Target- Clinical utility of the concepts.

 Preferable targets – Applied aspects of Kriyakalas in the light of current concepts of
pathogenesis.
Nirukti, Nidana, Samprapti, Prakara, Lakshana, Sadhya-asadhyata, Upadrava and Chikitsa of the following disorders.

i. Vranashotha – Inflammation

ii. Vidhradi – Abscess

iii. Pidika – Boils

iv. Nadi Vrana – Sinus / Fistulae

v. Vrana Granthi – Keloid / Hypertrophic scar

14|UG Syllabus 4th year

vi. Marmagata – Shock

vii. Kotha – Gangrene and Principles of Amputation.

viii. Granthi – Cyst

ix. Arbuda – Tumour

 Target-Clinical application of the concepts.

 Preferable targets – Hands on experience of management of different conditions.
Vrana – Nirukti and Prakara

ii. iii.

iv. v. vi. vii.

 

Nija Vrana – Nidana, Samprapti, Vrana Vasthu, Prakara, Lakshana, Vrana Pariksha – Sthana,Vrana Akruti, Srava, Gandha, Vedana. Vrana Avastha- Dustavrana, Shuddha Vrana, Ruhyamana Vrana, Samyak Roodha Vrana, Vrana Sadhya-asadhyatha and Vrana Upadrava.

Vrana Chikitsa – Pathya-apathya and Shashti Upakrama,Vranitagara and Rakshakarma. Agantuja Vrana :

a. Sadyo Vrana – Traumatic wounds – Nidana, Prakara, Lakshana, Upadrava and Chikitsa.

b. Managementofbitesandstings.
Dagdha Vrana – Burns and scalds.
Ulcer – Types and their management.
Wound healing stages and their management.
Pramehapidaka – Diabetic carbuncle and wounds.
Target – Clinical application of the concepts.
Preferable targets – Hands on experience of management of different conditions.

Twak Vikara – Nidana, Samprapti, Lakshana and Chikitsa of Chippa – Paronychia, Kadara – Corn and Kshudra rogas.

 Target – Clinical application of the concepts.

 Preferable targets – Hands on experience of management of different conditions.
Manya Vikara – Nidana, Samprapti, Lakshana and Chikitsa of Galaganda – Goitre, Gandamala, Apachi –Lymphadenitis, Pashanagardhabha – diseases of parotid gland.

 Target-Clinical application of the concepts.

 Preferable targets – Hands on experience of management of different conditions.
Sira Vikara – Venous disorders – Superficial and Deep venous thrombosis, Haemangioma, Varicose veins – Diagnosis and their Management.

 Target – Clinical application of the concepts.

 Preferable targets – Hands on experience of management of different conditions.
Dhamani Vikara – Arterial disorders – Nidana, Samprapti, Lakshana and Chikitsa of Aneurysm, Buerger’s disease, Atherosclerosis, Raynaud’s disease.

 Target – Clinical application of the concepts.

 Preferable targets – Hands on experience of management of different conditions.
Snayu Vikara – Diseases of tendons and ligaments – Tennis elbow, Ganglion and their Management.

 Target – Clinical application of the concepts.

15|UG Syllabus 4th year

 Preferable targets – Hands on experience of management of different conditions. Care of AIDS – HIV and hepatitis infected patients.

 Target – Knowledge of safety precautions.
PAPER – II 100 Marks

Part – A 50 Marks

Bhagna – Skeletal injuries: Prakara including pathological fracture, Samanya Lakshana, Upadrava and Chikitsa.
Description of fracture of following bones with Clinical features, Diagnosis, Complications and Management – scapula, clavicle, humerus, radius, ulna, femur, patella, tibia and pelvis bones.

Sandimoksha – Dislocation: Dislocation of following joints with Clinical features, Diagnosis, Complications and Management of shoulder, elbow and hip.